Digital IOSN

Indicator of Sedation Need

The Indicator of Sedation Need is a commonly used tool to justify the use of Dental Sedation. It can also be used to determine if sedation should be recommended to the Dental Patient.
This tool has been designed to encourage fair access to Dental Sedation. The tool can be used by dentists to help decision-making and by commissioners as a dental conscious sedation services to establish the need in a particular population (reference). This tool is in three parts and uses information about:
1. Patient's self reported anxiety levels
2. Medical and behavioural status
3. Treatment complexity.
The original IOSN tool was designed by Professor Paul Coulthard at the University of Manchester and was developed into a digital tool with permission of the author by Dr Rob Endicott and Dr Toheed Nasir from UKSedation and Traintosedate.
Your Name

First NameLast Name
Your Email Address
so you can receive a PDF copy for patient records.
Patient initials
Patient Age

Part 2 - Medical Factors

Health Conditions that can justify the use of sedation or may make dentistry easier for the patient if they were sedated
ASA Classification*
Systemic Disorders (not severe enough to exclude sedation) that may be exacerbated by Dental Treatment*
A condition that might be helped by sedation
Systemic Disorders that compromise ability to co-operate*
AutoCalc IOSN Medical score
With the conditions above, how SEVERE are are they?*

1

2

3

1 is Mild, 3 is Severe
IOSN score for Part Two (Medical Factors)

Part 3 - Treatment Complexity

How complex is the Dentistry you are carrying out?
In this section we look at how complicated the planned dental treatment is.

This can be subjective, what may be simple for some practitioners may be complex for others but this is about the complexity for the patient as well.

The planned dentistry is split into "types" and the list isn't exhaustive. However if mulitiple treatment categories are planned, e.g. "fillings and perio", "extractions and crown preps" or one treatment type in different quadrants - e.g. "extractions upper left and lower right" they are automatically classed as complex, yeilding a score of 4.
Are you combining dental treatment types?*
If you select "yes" the fields below will disappear
You have selected you are doing one treatment type, what is it?

If you are selecting two boxes then you need to change the field above saying you are combinig treatments
Periodontal
IOSN Perio
Restorative
IOSN Restorative
Surgical
IOSN Surgical
Endodontic
IOSN Endodontic
You have selected one treatment type, if you are doing more than that, change the "Combining Treatment Types" field above to "Yes"
IOSN Score for Part Three (Treatment Complexity)

Indicator of Sedation Need